scholarly journals SURVEY OF MATERIALS, METHODS EMPLOYED, AND ATTITUDES TOWARDS INTERNATIONAL ENDODONTIC TREATMENT PROTOCOL STANDARDS BY GENERAL DENTAL PRACTITIONERS IN LITHUANIA. DOES AGE MATTER?

2017 ◽  
Vol 27 (3) ◽  
pp. 94-102
Author(s):  
Linas Vaitkus ◽  
Miglė Mackevičiūtė ◽  
Eduardas Kelbauskas
Keyword(s):  
Root Canal ◽  
Treatment Protocol ◽  
Endodontic Treatment ◽  
X Rays ◽  
Treatment Standards ◽  
Root Canal Filling ◽  
Root Canal Irrigation ◽  
Dental Practitioners ◽  
Younger Generation ◽  
General Dentists

Aim.To acquire statistical data concerning the materials, methods, and approaches used by general dentists in Lithuania, when treating teeth endodontically, while comparing said data with set treatment standards of undergraduate education to determine if practitioners’ years of experience had influence on aforementioned factors. Materials and Methods. In total, 350 surveys were dispersed among four major Lithuanian cities (Vilnius, Kaunas, Klaipeda, Utena) to bring forth data. These questionnaires included questions concerning the participant’s gender, experience in dentistry in years, materials and methods used, etc. Statistical analysis of the data was performed using SPSS 22.0 (Statistical Package for Social Science 22 for Windows) Results. From the total, 134 (38.3%) surveys were returned for analysis. Only those surveys were analyzed which were fully filled and were from general dentists, who were performing endodontic treatment to their patients (109 or 31.1%). Respondents who did not qualify to the set forth criteria were automatically removed from further analysis. 77.6% of younger dentists (10 years or less in the field) preferred to use a rubber dam as an isolation material while only 30.6% of older generation specialists (more than 10 years in the field) performed endodontic treatment with it. Step back technique was more popular to use for younger generation dentists while NiTi rotary system and Crown down (hand files) technique for the more experienced clinicians. Almost all respondents used K-files in root canal treatment, while the most popular time to take dental X-rays was detrmined to be before treatment and after root canal filling. Cold lateral condensation technique for root canal filling was the most popular choice, while the sealer type most often used was zinc oxide eugenol. Most commonly used root canal irrigation was sodium hypochlorite. Conclusions. From the statistics brought forth from this study, it is apparent that younger generation of dentists follow the endodontic treatment regulations somewhat closer than the older generation, but not in all aspects of treatment.

scholarly journals Endodontic treatment regimens and their application in practice - survey and comparative study

2021 ◽  
Vol 11 (7) ◽  
pp. 30-43
Author(s):  
Łucja Kula ◽  
Julita Kalinowska ◽  
Aleksandra Koczor-Rozmus
Keyword(s):  
Root Canal ◽  
Daily Practice ◽  
Endodontic Treatment ◽  
Thermal Method ◽  
X Rays ◽  
Root Canal Filling ◽  
Treatment Regimens ◽  
Root Canal Irrigation ◽  
Working Length ◽  
Dental Offices

Introduction: Endodontics is a rapidly developing field of dentistry. Dentists have an increasing selection of techniques, tools, and materials to ensure therapeutic success.Aim: The aim of the study was to analyze the endodontic treatment regimens and their application in the daily practice of dentists. Material and Methods: A dentist survey was conducted through a Google Doc. The link to the form was placed on online dental groups, sent by e-mail to the offices and the questionnaire was also delivered to the dental offices in a printed form.Results: The majority of respondents always perform endodontic treatment procedures on pregnant women, take three X-rays and use a rubber dam during the treatment. Almost all respondents have the opportunity to take an X-ray in the workplace, and the working length is usually measured by the electronic method. The most commonly used methods of root canal preparation are the traditional and crown-down methods, and the most commonly used root canal filling method - the thermal method. Most of the respondents declared the following rinsing protocol: NaOCl and CA or EDTA.  Apex locator, ultrasounds, and microscopes are used in most dental offices, and more than half of the dentists responded that they perform procedures like broken tools removal or obliterated canals enlargement.Conclusions: Polish endodontics has developed over the years. Modern solutions are used more and more often. The canals are filled with the thermal method, and the popularity of performing complex endodontic procedures has increased. However, it is necessary to conduct further studies comparing the effectiveness of the canal preparation methods and the standardization of the root canal irrigation protocol.

scholarly journals The need and reasons for referrals to specialists among Lithuanian general dentists

Medicina ◽  
2010 ◽  
Vol 46 (9) ◽  
pp. 611 ◽  
Author(s):  
Vytautė Pečiulienė ◽  
Jūratė Rimkuvienė ◽  
Rasmutė Manelienė ◽  
Saulius Drukteinis
Keyword(s):  
Root Canal ◽  
Response Rate ◽  
Dental Trauma ◽  
Diagnostic Procedures ◽  
Endodontic Treatment ◽  
Specific Information ◽  
Traumatic Injuries ◽  
Persistent Symptoms ◽  
Dental Practitioners ◽  
General Dentists

Objective. To analyze the need for referral to a specialist and to identify the reasons of referrals among Lithuanian general dental practitioners. Material and methods. Questionnaires were sent to all 2879 Lithuanian dental practitioners registered on the Lithuanian Dental Chamber license registry. The questionnaire was made with multiple-choice answers. Respondents were asked to choose only one category of answer that best fitted their clinical attitude. Questions included in the questionnaire concerned general and specific information regarding the need and main reasons for endodontic referral. Results. Of the 2879 questionnaires mailed, 1532 questionnaires containing useful information were returned. The response rate was 53.2%. Of the 1532 respondents, 1431 were general dental practitioners. Majority (72.1%) of the respondents performed complicated root canal treatment by themselves. Almost half (49.6%) of them would like to refer patients to an endodontist. Two of the reasons, which restricted their decision, were the shortage of endodontists and high cost of the procedures in the specialized clinics. Approximately 19% of the respondents referred patients to an endodontist. The main reasons for referral were fractured instruments (86.6%), dental trauma (83.6%), difficulties in diagnostics (79%) followed by persistent symptoms (78.1%). Conclusion. The findings of the present study suggest that the need for referral of patients to an endodontist among Lithuanian dental practitioners exists. The main reasons for referrals were complications of endodontic treatment, traumatic injuries, difficulties in diagnostic procedures, and persistent symptoms.

scholarly journals CAUSES OF ROOT CANAL TREATMENT FAILURE

2021 ◽  
pp. 42-44
Author(s):  
Nadia Rasool ◽  
Sneha Mariam Lal ◽  
S Vidhyadhara Shetty
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Dental Practitioners ◽  
Common Causes ◽  
Conservative Dentistry ◽  
The Common

The aim of this study was to determine different causes of endodontic treatment failure in patients who approached our Department of Conservative Dentistry and Endodontics for re- treatment.This study included one hundred fifty patients of both genders with different post endodontic treatment complaints.Clinical and radio- graphic examination was used to confirm treatment failure. The most common clinical symptoms were tenderness, tenderness and pain, or swelling (72%, 29.3% and 22.7% respectively). The common causes of endodontic treatment failure were poorly filled (40%), under filled (34.7%) and no root canal filling (17.3%).Root canal failure due to overfilling was 5.3%.Most of these failed cases were either treated by internees (House officers) in the teaching institutes (34.7%) or general dental practitioners (57.3%).

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Clinical Scenario ◽  
Root Canal Obturation ◽  
Single Visit ◽  
Dental Practitioners ◽  
New Material ◽  
Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

scholarly journals Prevalence evaluation of apical periodontitis and its relationship with endodontic and restorative treatment in a community in Southern Brazil

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira
Keyword(s):  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Root Canal Filling ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Chi Square Test

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.

scholarly journals Post-Endodontic Treatment Flare-Up of Patients Treated By General Dentists and Endodontic Specialists

2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Mohammed Sarhan Alzahrani
Keyword(s):  
Postoperative Pain ◽  
Statistical Significance ◽  
Lesion Size ◽  
Endodontic Treatment ◽  
Categorical Variables ◽  
Preoperative Pain ◽  
Patient Factors ◽  
Chi Square ◽  
Dental Practitioners ◽  
General Dentists

Objective: This study aims to determine post-endodontic flare-up incidence for patients treated by endodontic specialists and general dental practitioners. Methods: The investigators measured the postoperative pain using a visual analog scale after 24 and 48 hours for patients treated endodontically by specialists and general dentists. The patient factors and operative variables were documented for every patient. The data was then analyzed using SPSS. A Chi-square test was used to evaluate a relationship between categorical variables, where a P < 0.05 was taken to indicate statistical significance. Results: In total, 143 participants were included in this study (male: n=62, 43.3%; and female: n=81, 56.7%). The incidence of post-endodontic treatment flare-ups was 14.8%. The incidence of 48 hours postoperative pain was higher (29%) with the endodontic specialists compared to the general practitioners. The factors that were associated with a higher postoperative flare-up include; patient age, smoking, preoperative pain, and periapical lesion size. Conclusion: Post-endodontic flare-up incidence in this study was within the reported range of flare-up. Patient factors are associated with the occurrence of the postoperative flare-up more than the operative factors.

The Evaluation of Anti-Microbial-Effect to Enterococcus Faecalis by Hypochlorous Acid Water

2021 ◽  
pp. 1-6
Author(s):  
Yoshishige Yamada
Keyword(s):  
Enterococcus Faecalis ◽  
Root Canal ◽  
Colony Formation ◽  
Hypochlorous Acid ◽  
Antimicrobial Effect ◽  
Endodontic Treatment ◽  
High Concentration ◽  
Canal Irrigation ◽  
Root Canal Irrigation ◽  
Root Canal Irrigant

Periapical periodontitis is a major disease, and difficult to achieve successful treatment in some cases. Therefore, root canal irrigation is one of the most important processes to successful endodontic treatment. Sodium Hypochlorite (NaOCl) solution is the most commonly used root canal irrigate. However using NaOCl solution on endodontic treatment should be considered its problems such as allergy, serious tissue damage when inadvertently injected into the maxillary sinus or oral mucosa. Therefore, another root canal irrigant that is safe and has a high antimicrobial effect is desirable. In this study, Hypochlorous Acid (HClO) water was used to evaluate the microbicidal efficacy of the Enterococcus faecalis (E. faecalis) and considered the possibility to be a future root canal irrigant candidate. Original (200ppm), 10% diluted (20ppm), 25% diluted (50ppm) and 50% diluted (100ppm) HClO water were used in this study. Each experimental solution was mixed with low concentrations (5×107 CFU/ml) or high concentration (5×109 CFU/ml) of E. faecalis at 30 seconds, 1minute, 3 minutes, 5 minutes respectively. Then they were placed onto BHI agar plates and incubated for 48 h at 37 ºC, followed by counting the number of Colony formation. The results showed that in the condition of 5×107 CFU/ml E.faecalis, no colony formation was shown within 30 seconds by 50 % diluted HClO water. Whereas only original water was attained to inhibit colony formation completely within 30 seconds under the density of 5×109 CFU/ml E, faecalis. In conclusion, 200ppm HClO water has a capacity to anti-microbiological effect against E.faecalis same as NaOCl solution. Keywords: root canal irrigant, hypochlorous acid (HClO) water, Enterococcus faecalis (E. faecalis)

The Efficiency of Endodontic Retreatment through Direct Crown Access

2017 ◽  
Vol 752 ◽  
pp. 35-40
Author(s):  
Mugur George Popescu ◽  
Diana Marian ◽  
Teodora Ștefănescu ◽  
Aurora Antoniac ◽  
Teodora Eva Lucaciu Lupulescu ◽  
...  
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Direct Access ◽  
X Rays ◽  
Root Canal Therapy ◽  
Endodontic Microsurgery ◽  
Previous Therapy ◽  
First Choice ◽  
Endodontic Retreatment

Endodontic retreatment with direct crown access is the main choice in cases of endodontic treatment failure, even if the practitioner`s effort and duration is significantly greater compared with other procedures. The retreatment with crown access repeats root canal treatment through direct access at the level of tooth crown. The objective is to clean up the canal from irritant agents, such as microorganisms, surviving from the previous therapy or passed through afterwards. Thus, a treatment restart is in accordance with the logics of root canal therapy and is preferred at any time if possible. The aim of this study was to observe, over a 4-year span, the efficiency of endodontic retreatment with direct coronary approach. From 2012 to 2016, 148 patients, with ages ranging from 18 to 65 years, were retreated endodontically. All patients were included in a regular monitoring plan of 3 months and 1-year post treatment. X-rays were performed during these observations, assessed with Orstavik criteria (1991), each radiography having assigned a periapical index (PeriApical Index – PAI). In conclusion, this study confirms that first choice of retreatment in case of endodontic treatment failure is restarting of the retreatment with direct crown access (91% success rate), failure of which leads to a surgical approach using endodontic microsurgery techniques.

scholarly journals Failure of endodontic treatment: The usual suspects

2016 ◽  
Vol 10 (01) ◽  
pp. 144-147 ◽  
Author(s):  
Sadia Tabassum ◽  
Farhan Raza Khan
Keyword(s):  
Success Rate ◽  
Root Canal ◽  
Endodontic Treatment ◽  
High Success Rate ◽  
Root Canal Filling ◽  
Common Causes ◽  
The Times ◽  
Causes Of Failure

ABSTRACTInappropriate mechanical debridement, persistence of bacteria in the canals and apex, poor obturation quality, over and under extension of the root canal filling, and coronal leakage are some of the commonly attributable causes of failure. Despite the high success rate of endodontic treatment, failures do occur in a large number of cases and most of the times can be attributed to the already stated causes. With an ever increasing number of endodontic treatments being done each day, it has become imperative to avoid or minimize the most fundamental of reasons leading to endodontic failure. This paper reviews the most common causes of endodontic failure along with radiographic examples.

scholarly journals A Survey of Standard Protocols for Endodontic Treatment in North of KSA

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Azhar Iqbal ◽  
Iftikhar Akbar ◽  
Beenish Qureshi ◽  
Mohd G. Sghaireen ◽  
Mahmoud K. AL-Omiri
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Computer Software ◽  
Endodontic Treatment ◽  
Preparation Technique ◽  
Gutta Percha ◽  
Working Length ◽  
True Representation ◽  
Length Determination ◽  
General Dentists

The objective of this study was to collect information regarding methods, materials, and attitudes employed during the endodontic treatment by dentists in north of Saudi Arabia. A questionnaire was designed and distributed among 300 dentists in north of Saudi Arabia to collect the data about the standard protocols of endodontic treatment. The collected data was analyzed by using the SPSS 10 computer software. Out of a total of 300 surveyed dentists, the 66% response rate showed that this study was true representation of the endodontic treatment performed by the dentists in north of Saudi Arabia. 152 (76%) were general dentists and 48 (24%) were endodontists. 18 (9%) were using rubber dam as the method of isolation during endodontic treatment. 173 (86.5%) were using only measurement radiographs for working length determination and 27 (13.5%) were using both electronic apex locator and measurement radiographs. 95 (47.5%) of the respondents were using standardized technique and 25 (12.5%) were using step-down as a root canal preparation technique. 127 (63.5%) of the respondents were using lateral condensation technique, with gutta percha points for root canal obturation.

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